HIV encephalopathy

Case contributed by Dr Alexandra Stanislavsky

Presentation

Gradual functional decline.

Patient Data

Age: 60
Gender: Male
MRI

Extensive, confluent periventricular and deep white matter T2 hyperintensity. No mass effect, no diffusion restriction, no microhaemorrhages, no enhancement.

Case Discussion

Further history of HIV with diagnosis made many years ago.  Gradual decline in cognition with psychomotor retardation.

Imaging appearance is non-specific in isolation, but in this clinical setting is in keeping with the suspected diagnosis of HIV encephalopathy.

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Case information

rID: 38168
Case created: 9th Jul 2015
Last edited: 28th Sep 2015
Inclusion in quiz mode: Included

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